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HomeMy WebLinkAbout062-640-007SPECIAL'INSPECTION 52-87 11/6/87 62 97 09 Su"san Hauch -Tellier 6;L -�� � `7 �p . .� ® cl, SIS Oro Quincy Hwy,across't TOM Post Office, Berry Creek �, Permit #1332-81B P E re ai s; SF) n 6 m Vance Link ' c/o Michael Pierce P.O. Box 431 Berry Creek, CA 95916 November 6, 1987 RE:- Special Inspection #52-87 A.P. #62-64-07 Dear Mr. Link: With reference to the above subject and your request for inspection of the vacant residence on the South side of Oro Quincy Hwy across from the Berry Creek Post Office, the inspection was made on November 5, 1987. The inspection revealed the building to be in very poor structural condition and in my opinion it should!,be demolished. M If the owner decides to rehabilitate the building, we will require a structural analysis of the building, including the foundation system, together with com- plete plans showing all structural corrective.work. I In addition to the structural work, the building will have to -be wired, plumbed, made weathertite,.and otherwise be completed to comply with all code requirements, including a complying stairway from the parking area. Two other significant problems which must be resolved is a solution to the drainage problems -around the building and verification of an adequate sewage disposal system with room '.for replacement leach lines. (The present system appears to be located within the County maintained roadway section.) �t Should you have any questions concerning this matter, please contact this office. I Yours very truly, al William Cheff Director of Public Works 1t Original signed b X F. Glandoi J.F. Glander JFG:ahb Chief Building Inspector is cc: Health Department �', r F i l e N'o. BUTTE COUNTY (For Act?on 1, 2 3) Public Works Dept, (For Information we ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp, Admin. I \ Design Engr. , Bridge Engr. Constr. Engr. Surveys Mapping Tran sp. Land Dev. z Drng. /5.1. Sub. & PCI. Maps Permits Addr.. 13 I ❑ Complaint -Date ❑ Ocher -Date 2 1 BUTTE COUNTY DEPARTIENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT f ZOIv'ID' Owner: l (/ 2wc—Q �� .�(C� A.P. Address: Date of Inspection Tenant: cGr�,�—Q- v Com- J�� '�{ L4 Inspector Building Location:�"/ 0 C�.i;:.._HCl-o sl -.� y" �U� � �-v c► ��.c /C Type of Inspection requested: 1. Housing ".2. 2. Financing / / 3.. Change of Occupancy to �[ 4. Work W/O Permit / / 5. Other (specify) Present use of building: Ste' �x .�,-� t ( 7, 1 A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements:. 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, l'HR, Tolerances,Handrails) 15. Comments: Struct alf�- 1. Pers and footings: 2. loor construction: Wall construction: 4. Ceiling and roof construction: d��>Fireplaces: Comments: t/AVI:,, C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: is E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. T] C. Write letter. / /.D. Other: COUNTY OF BUTTE - . DEPARTMENT OF PUBLIC WORKS 7 County Cen._ter Drive - Oroville, California 95965 Telephone: 534-4541•. APPLICATION FOR SPEC IAL SPECT- ION,- Ze h f- Owner Ila -n e r G- l 04 A V A.P. No. s •Mailin Address 1 4 � Telephone No. %)esfi ---r Applicant /'/ ! i�� p (` Tele hone No1�iS Mailing Address D , 9 9J Building Location (5/S Oe'a U i 0C l/ i G C V'© SS V'D A601 I heire1 y%'-` equest a special inspection of the following building: -1. Dwelling (if only a parrtion, specify) /-_,/ 2. Apartment House (if oily a portion,_specify). 3. Commercial (specify present occupancy) 4. Other ( specify) I am requesting a special inspection fbr the purpose,•of:; 1. Moving the building. 2. Financing (specify agency) -3. Change of occupancy to- 4. Other ( specify) C p E� %,a n f6 ✓ W 0 N C F Case No.., N r4 1 I hereby certify that I will -obtain the necessary permitsiand.make any necessary orr� t� ons, alterations, or repairs required by the County of Butte, a(s a result of this i spect on, to comply with building and housing code requirements, I also certify that prior to thezuse.,,Qo occupancy of this building, I willrcomple'te the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days, I certify that I have read this application and state the above information is correct and hereby authorize representatives of the CoLnty of Butte to enter.upon the above-mentioned property for inspection purposes. X /61t---- ( c Date / Signature of Owner 01 , - Fee paid $ J7 -D �� Receipt No. / 1st -DPW - 2nd -Inspector - 3rd -Applicant fA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. / OWNER Gl n- P. No. 6 Proposed Building Use S,1 Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/orissuance: All items have been submitted. -•- -.-• 0 n � cof� C lot plans in du�r�iteaf - r of plans. omplete plans in duplicate/triplicate, signed by preparer of plans./�`�f /'� ��'/� eo�y 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans v�ith Energy Design Compliance Statement. 6. School District ''Fees Paid'' Stamp on Floor Plan. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0 , Mail to owner ❑. 15. Improvements may be required. Contact Land Dev. Sec. of D.P.W. 16. Mobi lehome Installation Data including manufacturer's installation instructions. 17. Pre -inspection for required. 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit (Construction approval required prior to occupancy). 20. Plot plan approval from city of (See city for other reqts). 21. — — - - --- — -- — 22. ---- — When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant GENERAL INFORMATION BUILDING DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Phone: 891-2751 Hours: 8:00 a.m. - 10:00 a.m. Orovi I le 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Y-1 Date dam"Pe HEALTH DEPARTMENT OFFICES Chico. 196 Memorial 'Nay Phone: 891-2727 Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 538-7281 Hours: 8:00 a.m. - 10:00 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m.. Original — Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS - ) DING DIVISION 46v ° �� 7 COUNTY CENTER DF IVE - OROVILS, CAbr'8RNIA 95965 - TELEPHONE: 916/5Zi8-7541 ` s PERMIT APPLICATION DATA SHEET Permit No. r 4" , OWNER QnC C _ P. No. — Proposed Building Use S, �� Building Inspector Date At time of permit application, I was advi3ed the following, data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted- . . . Plot plans in du4LGa4-�i4.. ;y,. ;_prelaarer of plans. _ Complete plans in duplicate/tlriplicate, signed by preparer of plans.4yoo';�/be oqi� 4. Complete engineered plans ar-d calcs, with wet signature on, plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan: 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Con-pensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _.__.-._15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Dote) 17. Pre -Inspection for _. _ __ _Required- Building Inspector 18. Recorded copy of Agricultura Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval froiro.-city Df_ _ 21. — — — 22. — _— When you issue the permit, process as follows: Mail to owner; 1/+ail to contractor:, Telephone and hold for pickup at _ -----:,office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., _0L_ Othee Date The following data must be subm tted prior to permit issuarice:`�(Circle"new item not checked above). 1. Index permit for above items Wo. 2. Addi`tional items required: Contractor, designer, owner, was advised of above required data by—phone_-mail—counter by date Contractor, designer, owner, was'advis?d c? above required data tiy—phone —mail—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in _ File cabinet AP folder y �' Copy—DPW --��..__ -- -.._..----r ej I I t1 �T rr- '-^ lilt, it I j- -� '- t- ---- It--1�--t -� -t-`- I -T-r- ---'----r'-f'-Y--'--�--- j V - -. InT l Uce D-63 ALL I..NEl 44 ±1 OL --•-- --'- it ' -- �`- --- ----' - ' - , - ' , ; --� __---�--I- ;—;-�-�P'i'iZ-Tse-�_ -•-' ---'- •- �u , ; , _•.--- I N Ir -!--- - C -S -71-T it _j- ?`�LDPE: . F I i I -7-i-- - - -i�- .0 --- •- , i- t , -f-rt - -. -.__..-1 1i r I j -�� '��N��J _. 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L . 6 ID J ut_ vV3 _13rpocTu- RF_ 7 6 It w. :-f I - . �:T 71- FLoo R Rn I.Ji:11 ' Folz r -- .(11 -Or IP t F_ i I 62-f'-1- 07 PERMIT NO. 1332-81B,P,E PERMIT EXPIRES�� OWNER Susan Hauch:Tellier CONTR. owner ASSESSOR PARCEL 62-07-409 LOCATION S/S Oro Quincy Hwyacross from Post office, Berry Creek A Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) j Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts -GF] 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -Bl Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date- FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic C] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Perrr.it) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32_ Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- Card -BI Date Card -BI Date Card -BI _ -_Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Date FRAMING Plans OK except p's 36, Sills; Proper Material & Anchors Comments at Final: _ 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42.H 43. 44. Header & Beam -Size & Bearing angers-Post Caps -Anchors -Connectors Cing. Joist-Ritr. Ties-Purlin-Roof Brac -Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _ Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS— S PARCEL N MBER� / ZO ING' _ `7 V —� BUILDING PERMIT OWNER TELEPHONE S' r s -7- %z -7 SQ. FT. OCC. BUILDING VALUA ION oe PER'S MAILING ADDRESS ©\ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ V6 BUILDING J%DDRESS,.PLUMBING PERMIT Filing Fee 10.00 l fit l S ` Each Trap 2.00 p Repair drainage or vent piping 5.00 P1 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets S USE OF STRUCTURE SF I� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 6^O Lawn sprinkler system 5.00 TYPE OF WORK New ❑ AdditiqLO Remodel ❑ Utilities ❑ Installation ❑ Other plfContractor Describe work: -- till — lam. IC Permit Fee $ Ybm ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 5.00 Q ' Main service EA. ADD'L 100 AMP 2.50 l r EW CONST. DW IN CUP. y� OR ADDNS. AC 20sq ft CL - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business150 and Professions Code and m license is in full foe and effect. y force License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OU L T 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR. / @ 2150 Ex. OCCUR(OUTLETS OR FIXTURES 100 Ex. Occup.(OUTLETS FIXED P(RESID )LNS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , Contractor S. MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. VrI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue said County i C nseque�thrantin,f this permit. x to %7 (Y \ Signature of Applicant — Owner&�_Contractor ❑ Agent I EJ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 33ssttorie�sjin heiigght.ceipt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3 r OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date y� ZSTE-D.P.W., Lion, No. .� (J e`3 � U YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION •.�.�' 7 COUNTY CENTER DRIVE - OROVILLE,ZC ,LPFORNIA 95965 - TELEPHONE: 6%534-4541 PERMIT. APPLICATION DATA SHEET ►I // Permit No. ``,,.. OWNER 1 C 1' h AO Ck __TP I I e,41 A. P. No. 6.2--07—TQ9 Proposed Building Use S Permit Fee Based Upon: Com Tete Cdntract Price DPW Valuation �,E'plain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , . , . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. ' 11., Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Install t•i ioI Data. . . o •Pre-Inspec. request to 7. Pre -Inspection for 'b�• Required. Building Inspector ate) 8. Other e When you�i-s'sue,the permit, process as follows /�Telepho and hold 1 Other 7.11_ Mail to owner. Mail to contractor. ckup aoffice. Deliver w/inspector. Applicant CDate— ��/ 7 i R/ Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. '(For required items not checked above at tim of pplication, circle item.) a 1. Index permit for above Items No. 2. Additional items required: _ (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by If Date Plans approved by Date Other: ff Copy—DPW Mail Other Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)_, 2, I (have/have not) signed an application for a building permit for the proposed work, 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ` Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide' -the major work: Name Address / City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS PERMIT NO. I 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSW. NUMBER, ZONIt!G — r. - �,�1' _ L10 OVIN ER�TELEPHONE ` i BUILDING PERMIT S1*�O. FT. OCC. � cSUILDING VALUATION O'H�V ER'S MAILING ADDRESS J CONTRACTOR'S NAME NE - � CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Al UNK J1VN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .l ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ Penalty $ ARCHITECT C-R ENGINEER'S MAILING ADDRESS - Permit fee $ A -6)r(7 ) BUILDING tDDRES - i `� t F�' n S-1, PLUMSIN ; ERMIT Filing Fee 10.00 Each Trap i J 200 0, Repair drainage or e t piping 5.00 ;Vater piping [} LOT NO. SUBDIVISION N M P R AP E Each qas water heate ` vent 5.00 Gas piping sy to 1 - 61lNtlets 's S OF STRUCTURE SF Duplex Mobi! home Other _ — SPE FY Bu!Iding sew r — ;; Lawn sprinkl m 00 TYPE OF WORK New ❑ Addtio. emodel ❑ Utilities ❑ Ins I lati ❑/ Other Describe .work: "7 '"3 . '_'�; l �_ — -�� N `C_.*_ rw.? ) t�;,�.(... ..>�J'{i•J1�° t- - (�i`,�. ��j���� Permit Fee $ Contrac r EL C A ICAL PERPAIT 'IingFee 10.00 OR Main se ICE 0 AMP RSLESS 5.00 11 Main � e E ADD'L. 00 AMP ''y7-�� �NCONS (DW I;7_1NA CU A ADDNS. (AC G. `r-�•L '� N20 CONTRACTOR LICENSE LAW I declare under penalty of perjury (chec ne): 111 I am licensed under provisions of Cha t. 9, Div. 3 of the Business and Professions Code nd m licen' is in full force effect. y /License No. C!as ification (�r I, as the owner, or my em loyees with wages as their sole omp - sation, will do the work,an the structure is not intended or fere for sale. (Sec. 7044) ❑ I, as the owner, am exclusive contracting wi I sed contra - ors. (Sec. 7044) I am exempt under Sec. , Business nd Profess' ns Code for this reason EW coNST uL LourLET 2.50 ea t -RESID DRANC_H CiR -UITS _ NE CON ST R. OWER APPARATUS 61 NON- EID. INGLE OUTLET CIR. % ��zx S OR .4 7U Es EALf 10 Ex. O. .up(o FIXED FIXED :. F'PLN". C:� Ex. Oc'up.(OLITLETS (RE .) E.A. 2.00 T i ora service 10.00 P y — M I e F• me Facilities 15.00 Mis W! ing 7.50 — ^ It Fee $ , ontractor P1ECHANICAL PERMIT FiIingFee 10.00 I declare under penalty of perjury (check one):!!eating t'IORKiAEPV'5 COMPENSATION INSURAVat 'Elie permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte a Certificate of Workmen's Compensation Insur of Consent to Self-Insure.I shall not employ any person in any manner so to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject- to the W..C. provisions of the Labor Code, you must forthwith compI j wittl such provisions or this permit shall be deemed revoked. _ Cooling Hood Ventilation Permit Fee 3.00 _ S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Law3 relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butle against all liabilities, judgments, cost:, and expenses which may in any way accrue Z2a4rst.said County in consequence oj;the ranting of this permit. I T X �Y� N I': 1 - :Date �� f�/ Signature of Applicant - Owner"Contractor ❑ Agent'Ll An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ D Occu P. Group TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By — PERMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date-- — Receipt No. :�lLJ -- WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT this set of plans and s ,,ept on the pecificafii ns MUST be NOTE: -A11 Materials & WorkmanshipShall Be in, y chanbestorll times tinct itis unlawful to 'Hake any- alterah ns on same without Accordance with Reco"jili'@'� Good Practices and N'ritten.p•�rrr;sson from of a qurylity.prsscril,ed iar t.'? Specified use in the works, Count the Dep::rtment of public Uniform Building, Plumbirg �c NAcchan,ical Codes and Y of Butte' the National Electrical Code. 4x6 I G G i"i l4' a' -00 1,3,302 t BUTTE COUNTY BUILDING DEPARTMENT APPROVED e^ " S�'ed.�./� L: Since these items must be corrected before we can final the job or issue the required Certificate of Occupancy, please make the.above corrections and contact this office within ten (10) days of the date.of this letter and request final inspection. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions.concerning this matter, please contact this office. JFG:dd cc: Building Inspector. Yours very truly, Clay Castleberry Director of Publi2--WRrks r.V. Glander \ Chief Building Inspector TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Hold final for: P Sewage Disposal _ Final clearance O.R. for: Clearance for -13_ bedroom mobile Ei Other NOTE A** -EQ / Sanitarian AP# Water Supply —_ Water Supply Water Supply Date